• Neurocritical care · Oct 2010

    Case Reports

    A report of fetal demise during therapeutic hypothermia after cardiac arrest.

    • Elissa Fory Wible, Joseph S Kass, and George A Lopez.
    • Department of Medicine, Duke University Medical Center, DUMC Box 2900, Durham, NC 27710, USA. elissa.wible@gmail.com
    • Neurocrit Care. 2010 Oct 1;13(2):239-42.

    BackgroundTherapeutic hypothermia is becoming the standard-of-care for coma following out-of-hospital cardiac arrest. Pregnancy has been considered a contraindication for therapeutic hypothermia.MethodsCase report.ResultsA 44-year-old woman presented after a witnessed out-of-hospital ventricular fibrillation cardiac arrest. She remained comatose upon hospital admission and was treated with induced hypothermia via surface cooling pads. An intrauterine pregnancy of 20 weeks gestation was discovered on admission. One day after admission, a stillborn fetus was spontaneously delivered. The patient made a good neurologic recovery and now lives at home with her family.ConclusionDuring pregnancy, beneficence toward the pregnant woman must be the primary ethical guideline in emergent, life-threatening situations. Pregnancy should not be a contraindication to therapeutic hypothermia following cardiac arrest.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…